| NPI | 1154434447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A11841) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OR DO23355) |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2013-06-12 |